经眼动脉溶栓治疗糖尿病视网膜病变玻璃体切除术后视网膜中央动脉阻塞2例

Thrombolysis via ocular artery in treatment of central retinal artery occlusion after vitrectomy for proliferative diabetic retinopathy: report of two cases

视网膜中央动脉阻塞(central retinal artery occlusion,CRAO)是一种严重致盲性眼病。糖尿病性视网膜病变玻璃体切除联合眼内光凝术后中央动脉阻塞的临床表现及预后有其特点。南通大学附属医院收治的2例糖尿病性视网膜病变患者在经过玻璃体切除联合眼内光凝术后出现CRAO。本文通过回顾2例患者的临床病例资料,讨论及分析其CRAO的原因、危险因素及诊疗方法。

Central retinal artery occlusion(CRAO)is a severe eye disease causing blindness.The clinical manifestations and prognosis of posterior artery occlusion after vitrectomy combined with intraocular photocoagulation for diabetic retinopathy are specific.Two patients with diabetic retinopathy in Affiliated Hospital of Nantong University developed central retinal arterial occlusion after vitrectomy combined with intraocular photocoagulation.In this article,the clinical data of two patients with CRAO were retrospectively analyzed.The causes,risk factors,diagnosis and treatment of CRAO were analyzed.